Authorization to Hold Mail
NOTE: Complete and give to your letter carrier or mail to the post office that delivers your mail.
We can hold your mail for a minimum of 3, but not for more than 30 days.
Postmaster: Please hold mail for:
Name(s)
A. Please deliver all accumulated mail and
resume normal delivery on the ending date shown below.
Address (Number, street, apt./suite no., city, state, ZIP + 4)
B. I will pick up all accumulated mail when I
return and understand that mail delivery will not resume until I do.
Beginning Date Ending Date (May only be changed by the customer in writing) Customer Signature
For Post Office Use Only
Date Received Clerk Carrier Bin Number Route Number
(Complete this section only if customer selected option B) Accumulated mail has been picked up.
PS Form 8076, April 2001 Resume Delivery of Mail (Date) By